Individual provider · Type 1 NPI
Shana Gibson
Mental Health Counselor · Philadelphia, PA
NPI number
1679224927
Active
Practice location
6336 Anderson St
Philadelphia, PA 19138-1030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1679224927
Shana Gibson's National Provider Identifier is 1679224927, issued on Jan 18, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 18, 2022.